Kathleen L Nichols, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

334991 Issued in WI

Practice address

4408 N 39TH St
Milwaukee, WI 53209-5802

Phone

(414) 837-3721

NPI assigned

Apr 23, 2021

Last updated

Dec 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peaceful Dwellings 2 Afh

  • Assisted Living Facility
  • Milwaukee, WI
  • NPI 1871459420
  NPD Authorized official
• Peaceful Dwellings Afh LLC

  • Assisted Living Facility
  • Milwaukee, WI
  • NPI 1275499824
  NPD Authorized official
• Peaceful Dwellings Transport Services

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
  • NPI 1669338216
  NPD Authorized official
• Peaceful Dwellings Home Care Plus

  • Adult Companion
  • Milwaukee, WI
  • NPI 1679411417

  Personal Care Attendant

  NPD (past) Authorized official
• Peaceful Dwellings Home Health Care Plus

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1184565400
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1053993592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 N 39TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095802",
            "telephone_number": "414-241-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 N 39TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532095802",
            "telephone_number": "414-837-3721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4414 N 39th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532095802",
            "country_code": "US",
            "telephone_number": "262-875-9706 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WI",
            "license": "334991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imran K Niazi, MD
• Heather Marita Niccoli, HS3
• Allyssa A Nicholas, PA-C
• Brittany A Nichols
• Colleen Mary Nichols, M.D.
• Kyle B Nichols, MD
• Matthew David Nichols, DO
• Andra L Nicholson Sr.
• Kristen Nicholson, LPC
• Rebecca Kamperschroer Nickels, PA

• Nurse's Aide in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Nurse's Aide in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.